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SHAINA SHETTY
NPI 1285297507
Family Medicine in Detroit, MI

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
5635 W FORT ST, DETROIT, MI 48209(313) 849-3920(313) 849-0824 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 7, 2023, Mar 29, 2020, Apr 22, 2019 (3 updates tracked since 2019).

About Shaina Shetty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAINA SHETTY (NPI 1285297507) is an individual family medicine provider in Detroit, Michigan, licensed in Michigan (4301508109) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1285297507
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHAINA SHETTY
Location Address5635 W FORT STDetroit, MI 48209-3154
Mailing Address5635 W Fort StDetroit, MI 48209-3154 · (313) 849-3920 · Fax (313) 849-0824
Phone(313) 849-3920
Fax(313) 849-0824
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2020
Enumeration DateApril 22, 2019
Last NPPES UpdateNovember 7, 20233 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1285297507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301508109
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5635 W FORT ST, Detroit, MI 48209
Open in Google Maps ↗

Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shaina Shetty is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668890518
PECOS Enrollment IDI20230707001418
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shaina Shetty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health System
4.1 mi
Plastic Surgery
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1528142858 (313) 916-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRY E LAWRENCE R.N.
Registered Nurse (Community Health)
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 849-3920
CHRISTEN KEMP FNP-BC
Nurse Practitioner (Family)
5635 W FORT ST
DETROIT, MI 48209
Wayne County (888) 360-9355
DR. SYMONE LESLIE MARTIN FOWLER MD
Family Medicine
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 829-3920
FATIMA MARTIN
Social Worker
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 849-3920
FATIMA BARBA
Doula
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 644-1500
LORELEI E CLAIBORNE D.D.S
Dentist (Dental Public Health)
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 849-3920
MS. ELLEN HARNISCH LMSW
Social Worker (Clinical)
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 849-3920
CARLA PORTILLO-MEDRANO NP
Nurse Practitioner (Family)
5635 W FORT ST
DETROIT, MI 48209
Wayne County (734) 968-2566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaina Shetty's NPI number?

The NPI number for Shaina Shetty is 1285297507. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Shaina Shetty located?

Shaina Shetty practices at 5635 W Fort St, Detroit, MI 48209. The listed phone number is (313) 849-3920.

What is Shaina Shetty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shaina Shetty enrolled in Medicare?

Yes. Shaina Shetty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shaina Shetty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaina Shetty reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shaina Shetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaina Shetty accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Shaina Shetty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shaina Shetty affiliated with any hospitals?

According to CMS data, Shaina Shetty is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Shaina Shetty was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.